Kellyrose M Nichols (NPI# 1013274638, PAC ID# 1355658519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013274638 |
| PAC ID by PECOS | 1355658519 |
| Professional Enrollment ID | I20150921001340 |
| Full Name | Kellyrose M Nichols |
| Organization Legal Name | UNIVERSITY OF ROCHESTER |
| Address |
2400 S Clinton Ave Bldg H Rochester NY 14618-2668 |
| Phone Number | 5853417200 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799699088 |
| Number of Group Practice Members | 630 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330073 | UNITED MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2400 Clinton S Ave F, Rochester, NY 14618-2668 | 5852447200 | UNIVERSITY OF ROCHESTER |
| 2400 Clinton S Ave G, Rochester, NY 14618-2668 | 5853417685 | UNIVERSITY OF ROCHESTER |
| 2400 Clinton S Ave H, Rochester, NY 14618-2668 | UNIVERSITY OF ROCHESTER | |
| 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 | 5853417200 | UNIVERSITY OF ROCHESTER |
| Organization Legal Name | UNIVERSITY OF ROCHESTER |
| Physicians | 445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea M Juhasz | Nurse Practitioner | University of Rochester | 2300 W Jefferson Rd, Suite 400, Pittsford, NY 14534-1090 |
| Kristin A Knapp | Physician Assistant | University of Rochester | 738 Library Rd, Rochester, NY 14642-0001 |
| Lindsay A Balceniuk | Family Medicine | University of Rochester | 55 Barrett Dr, Webster, NY 14580-2927 |
| Morgan E Sullivan | Nurse Practitioner | University of Rochester | 127 W Main St, Le Roy, NY 14482-1200 |
| Matthew M Brockway | Internal Medicine | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Jesse N Schenendorf | Internal Medicine | University of Rochester | 400 White Spruce Blvd, Rochester, NY 14623-1619 |
| Natercia R Rodrigues | Family Medicine | University of Rochester | 454 E Broad St, Suite 100, Rochester, NY 14607-1724 |
| Shri O Noel | Internal Medicine | University of Rochester | 2400 Clinton S Ave G, Rochester, NY 14618-2668 |
| Aida L Santiago | Nurse Practitioner | University of Rochester | 919 Westfall Rd - Bldg C, Rochester, NY 14618-2692 |
| Lauren M Newson | Nurse Practitioner | University of Rochester | 42 Nichols St, Spencerport, NY 14559-2180 |
| Street Address |
2400 S CLINTON AVE BLDG H |
| City | ROCHESTER |
| State | NY |
| Zip | 14618-2668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erdal S Erturk | Urology | University Urology Associates | 2400 S Clinton Ave, Bldg H Suite 150, Rochester, NY 14618-2653 |
| Megan M Terwilliger | Internal Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Catherine C.a. Mcphee | Family Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Andrea Belen Judkins | Family Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Allison R Mcintyre | Nurse Practitioner | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Karen A Oshea | Nurse Practitioner | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Michael S Krasner | Internal Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Andrew G Mclanahan Jr. | Internal Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Christopher T D Angelo | Internal Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Lior J Greenberg | Internal Medicine | University of Rochester | 2400 S Clinton Ave, Bldg H, Rochester, NY 14618-2668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen M Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Debra Calkins Roach | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Beth M Cerrito | Psychologist, Clinical | 1357 Monroe Ave, Rochester, NY 14618-1005 | |
| Michele M Mendelson | Clinical Social Worker | 1385 Monroe Ave, Rochester, NY 14618-1079 | |
| Alice M Tariot | Psychiatry | 603 Claybourne Rd, Rochester, NY 14618-1225 | |
| Barbara A Harris | Clinical Social Worker | 1541 Monroe Ave, Rochester, NY 14618-1423 | |
| David A Kloch | Chiropractic | 771 Winton Rd S, Rochester, NY 14618-1603 | |
| Richard G Gagnier | Internal Medicine | 900 Winton S Rd, Rochester, NY 14618-1628 | |
| Ann M Curtin Knight | Clinical Social Worker | 920 Winton Rd S, Suite A, Rochester, NY 14618-1634 | |
| Kimberly D Kalish | Clinical Psychologist | 920 Winton S Rd A, Rochester, NY 14618-1634 | |
| Find all physicians in zip 14618 | |||
| City | ROCHESTER |
| Zip Code | 14618 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROCHESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kellyrose M Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.